Local Health System Sustainability Project
Namibia
Since gaining its independence in 1990, Namibia has made notable progress in its health system. However, despite these signs of progress and relatively high levels of health spending, Namibia faces challenges in its ability to sustainably and efficiently finance a health system that advances Universal Health Coverage (UHC).
LHSS is partnering with the Government of the Republic of Namibia and non-governmental entities to advance long-term sustainability planning. Through close collaboration with stakeholders, LHSS activities focus on the journey towards UHC, health financing, and private sector engagement. Specifically, LHSS is working to -
- Support the Ministry of Health and Social Services (MoHSS) to operationalize a high-level UHC plan by re-engaging UHC working groups and strengthening the MoHSS’s capacity to engage with multi-sectoral stakeholders on health financing reform
- Strengthen MoHSS capacity to use evidence-based financing processes by supporting the development of an essential service package, costing the essential package (including HIV services), and advancing efficient and effective resource allocation processes
- Improve private sector engagement leading to increased access to care and strengthened stewardship by the Government of Namibia
By strengthening Namibia’s health financing system, all Namibians, including people living with or experiencing HIV, pregnant women and children, and those living in poverty, can receive accessible, affordable, and high-quality essential health services.
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Publications and Other Resources
Publications and Other Resources
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PUBLICATIONThe Namibian government has a long history of working with the private sector to deliver essential health services. However, the engagement between the Ministry of Health and Social Services (MOHSS) and private sector actors within the health sector is mostly through ad hoc interactions during national campaigns, planning processes and service delivery. Thus, there is a need for more-coordinated and more-strategic engagement to effectively leverage the private sector's capacity and strategically position the private sector’s role in advancing universal health coverage (UHC).
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PUBLICATIONThis PSCSE landscape report was compiled using evidence generated from a comprehensive documentary review and selected key informant interviews conducted to gain insight into the status of implementation of existing PPPs, and the challenges, lessons learned, and success stories.
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PUBLICATIONThis process guide outlines an iterative process to support budgetary allocation decisions aligned with regional populations and needs as prioritized in the EHSP. The process guide proposes a broad decision-making framework that can be used to review current practices and move toward more efficient approaches in resource allocation.
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PUBLICATIONThis document describes the process to be followed for the regular revisions of the EHSP and presents important elements that support the updating, so that an EHSP that is a sustainable, equitable, and accessible—within financial and other constraints—is delivered to the population.
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PUBLICATIONThis analysis identified several inefficiencies related to how the financial budget and other financial resources are allocated and spent. It also presented potential actions that can improve resource allocation within the MoHSS budget and address some of the challenges identified during the analysis.